Abstract

Consumption of trans fatty acids (TFAs) has been unequivocally linked to several adverse health effects, with the increased risk of cardiovascular disease being one of the most well understood. To reduce TFA-related morbidity and mortality, several countries have imposed voluntary or mandatory measures to minimize the content of industrial TFAs (iTFAs) in the food supply. In 2018, Slovenia introduced a ban on iTFAs on top of preceding voluntary calls to industry to reduce its use of partially hydrogenated oils (PHOs) as the main source of iTFAs. To investigate the consumption of TFAs, data available from the nationally representative dietary survey SI.Menu were analyzed. The survey consisted of two 24-h non-consecutive day recalls from 1248 study participants from three age groups (10–17, 18–64, 65–74 years old), combined with socio-demographic, socio-economic, and lifestyle parameters. The analyses demonstrated that, on average, TFAs accounted for 0.38–0.50% of total energy intake (TEI). However, 13% of adolescents, 29.4% of adults, and 41.8% of the elderly population still consumed more than 0.50% TEI with TFAs. The main sources of TFAs in the diet were naturally present TFAs from butter, meat dishes, and meat products, regardless of the age group. Results indicate that following the reformulation activities, the major sources of TFAs in the diets of the Slovenian population now represent foods which are natural sources of TFAs.

Highlights

  • Trans fatty acids (TFAs) are fatty acid isomers with one or more double bonds in trans instead of cis configuration

  • Estimates were done for both the amount of consumed TFAs daily

  • The percentage was marginally higher in adults, where 0.42% (CI: 0.40–0.45) of total energy intake (TEI) came from TFAs and was the highest in the elderly, whose consumption of TFAs accounted for 0.5% (CI: 0.47–0.53)

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Summary

Introduction

Trans fatty acids (TFAs) are fatty acid isomers with one or more double bonds in trans instead of cis configuration. The intake of industrially produced TFAs (iTFAs) has been found to negatively influence blood cholesterol profile, increase triglycerides [2], stimulate inflammatory responses [3], and increase mortality, from coronary heart disease (CHD) [4]. According to a meta-analysis of four prospective cohort studies, with every 2% of total daily energy gained from TFAs, coronary heart disease incidence increases by 23% [1]. A substantial body of scientific evidence on adverse health effects of iTFAs has led public health organizations to establish a recommendation of an upper tolerable limit for TFA intake at 1% of total energy intake (TEI), according to Ref. The WHO’s action package called “REPLACE”, released in 2018, aimed to completely eliminate iTFAs from the global food supply by 2023 [7]

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